Fertility status following extrauterine gestation.

Foetal loss is a major public health problem with a pa1..1city ot know1t:dgt about early foetal loss both in ectopic pregnancies and spontaneous abortions. Again, there is difference of opinion about the chances of future fertility following an ectopic pregnancy. Gioanni and Wirtz (1949) after analysis of 462 cases of ec;topic pregnancy reported only 15% of normal pregnancies, 7% of abortions and 9% of repeat ectopic pregnancies. Tompkins (1956) advocated conservative surgery for ectopic pregnancy. Bender (1956) reported the follow-up results of 264 cases of ectopic pregnancy and found that 44% conceived and 38% had live babies, 5% had abortion only and 7% a further ectopic. It was claimed by him that successful pregnancy ensues if the tube and ovary are both removed as ovulation will then occur in the ovary on the side of the healthy tube. Same opinion had been expressed by Jeffcoate (1955) and Green Armytage (1959) also supported it. Accnrding to Greenhill (1959) "it is justifiable to try to retain a gre~vid tube bv rernoving the ovum when it is the only tube the patient has and she also desires a child. Achari and Prasad (1968) from analy-· sis of 46 cases of ectopic pr egnancy ob~ servPd that 80 % of the multiparou.c: women and 50% of uniparous or multiparous patient.c: remained j;terile following